MEDICARE: MACKINZEE THOMPSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	1227508	TX

General Provider Information

NPI Number	:	1457206401
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MACKINZEE THOMPSON

Provider Business Mailing Address
First Line	:	2240 GULF FWY S
Second Line	:
City	:	LEAGUE CITY
State	:	TX
Zip	:	77573-5143
Country	:	US
Telephone Number	:	832-505-1234
Fax Number	:

Provider Business Practice Location Address
First Line	:	2240 GULF FWY S
Second Line	:
City	:	LEAGUE CITY
State	:	TX
Zip	:	77573-5143
Country	:	US
Telephone Number	:	832-505-1234
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/03/2026
Last Update Date	:	03/03/2026

Similar Medicare Providers

1952174393 — ASHLEY NICOLE RABALAIS FNP-C
Practice Location Address:

2240 GULF FWY S STE 2.402E
LEAGUE CITY, TX
77573-5143

Practice Phone: 832-505-1800
Practice Fax: 832-426-3045

1164918140 — LOUMA BASMA RUSTAM MD
Practice Location Address:

2240 GULF FWY S STE 2.100
LEAGUE CITY, TX
77573-5143

Practice Phone: 832-505-1600
Practice Fax: 281-309-0419

1558672931 — MRS. LIZBETH SANTANA-BLAISE NP
Practice Location Address:

2240 GULF FWY S STE 2.110
LEAGUE CITY, TX
77573-5143

Practice Phone: 832-505-1600
Practice Fax: 281-309-0147

1194558973 — MR. JASON SARFO ACNP
Practice Location Address:

2240 GULF FWY S
LEAGUE CITY, TX
77573-5143

Practice Phone: 409-772-1011
Practice Fax:

1083293849 — DESTANEE HAMILTON PA
Practice Location Address:

2240 GULF FWY S STE 2.100
LEAGUE CITY, TX
77573-5143

Practice Phone: 832-505-1600
Practice Fax: 281-309-0147

1134631716 — ADEL NASSER PA
Practice Location Address:

2240 GULF FWY S STE 2.100
LEAGUE CITY, TX
77573-5143

Practice Phone: 832-505-1600
Practice Fax: 281-309-0147

Directions to “ MACKINZEE THOMPSON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.